Related ACE Reports
- Published: Jun 2016
- ACE Report #9057
COA 2016: Lateral vs crossed K-wire fixation for displaced supracondylar humeral fracture
Study Type: Randomized Trial
OE Level of Evidence: N/A
Journal Level of Evidence: N/A
CONFERENCE ACE REPORTS
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Why was this study needed now?
Supracondylar fractures of the humerus are common among traumatic injuries in children, often resulting from a fall on an outstretched hand. While nonoperative management can often be used effectively in less severe cases, operative fixation is indicated in type III displaced fractures. Two methods of fixation include lateral K-wire fixation and crossed K-wire fixation. One of the main concerns following fixation with any method is the possible loss of reduction.
What was the principal research question?
In K-wire fixation of paediatric type III displace supracondylar fractures of the humerus, does a lateral K-wire configuration offer non-inferior efficacy based on the loss of reduction when compared to a crossed K-wire configuration, assessed at 3 weeks postoperatively?
|Population:||52 patients, 3-7 years of age, a type III displaced supracondylar fracture of the humerus|
|Intervention:||Lateral K-wire fixation group: Fracture fixation was achieved using two K-wires in a lateral configuration. Pins were removed at 3 weeks postoperatively (n=23; n=22 analyzed).|
|Comparison:||Crossed K-wire fixation group: Fracture fixation was achieved using two K-wires in a crossed configuration. Pins were removed at 3 weeks postoperatively (n=29; n=23 analyzed).|
|Outcomes:||The primary outcome was the rate of loss of reduction within 3 weeks of surgery, as assessed using the change in Baumann's angle from immediately postoperatively. Secondary outcomes included the Flynn's elbow score and incidence of iatrogenic ulnar nerve injury.|
|Time:||Patients were assessed at 3 weeks postoperatively.|
What were the important findings?
What should I remember most?
How will this affect the care of my patients?
The authors responsible for this critical appraisal and ACE Report indicate no potential conflicts of interest relating to the content in the original publication.